Fruits for seizures? A systematic review on the potential anti-convulsant effects of fruits and their phytochemicals

Lee Hsien Siang, Alina Arulsamy, Yeong Keng Yoon, Mohd. Farooq Shaikh

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Epilepsy is a devastating neurological disorder. Current anti-convulsant drugs are only effective in about 70% of patients, while the rest remain drug-resistant. Thus, alternative methods have been explored to control seizures in these drug-resistant patients. One such method may be through the utilization of fruit phytochemicals. These phytochemicals have been reported to have beneficial properties such as anti-convulsant, anti-oxidant, and anti-inflammatory activities. However, some fruits may also elicit harmful effects. This review aims to summarize and elucidate the antior pro-convulsant effects of fruits used in relation to seizures in hopes of providing a good therapeutic reference to epileptic patients and their carers. Three databases, SCOPUS, ScienceDirect, and PubMed, were utilized for the literature search. Based on the PRISMA guidelines, a total of 40 articles were selected for critical appraisal in this review. Overall, the extracts and phytochemicals of fruits managed to effectively reduce seizure activities in various preclinical seizure models, acting mainly through the activation of the inhibitory neurotransmission and blocking the excitatory neurotransmission. Only star fruit has been identified as a pro-convulsant fruit due to its caramboxin and oxalate compounds. Future studies should focus more on utilizing these fruits as possible treatment strategies for epilepsy.

Original languageEnglish
Pages (from-to)1925-1940
Number of pages16
JournalCurrent Neuropharmacology
Volume20
Issue number10
DOIs
Publication statusPublished - 2022

Keywords

  • anti-oxidant
  • anti-seizure
  • drug-resistant
  • Epilepsy
  • fruit extract
  • pro-convulsant

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